Manganese-potentiated cGAS-STING activation with ATM/PRMT5 inhibition remodels the immunosuppressive microenvironment

Zhaochen Tong1, Yuezhan Li2, Lingpu Zhang3

  • 1Department of Spine Surgery, The Third Xiangya Hospital of Central South University, Changsha, Hunan, 410013, PR China.

Bioactive Materials
|April 20, 2026
PubMed

Insights

A novel nanoparticle delivers dual inhibitors to bone tumors, enhancing DNA damage and immune response for effective osteosarcoma treatment. This bone-targeted therapy shows significant promise in preclinical studies.

Area of Science:

  • Biomedical Engineering
  • Nanotechnology
  • Oncology

Background:

  • Osteosarcoma (OS) presents treatment challenges due to poor drug delivery and limited immunotherapy response.
  • Developing targeted therapies is crucial for improving outcomes in bone cancer.
  • Nanoparticle-based drug delivery offers potential solutions for localized cancer treatment.

Purpose of the Study:

  • To develop a bone-targeted, glutathione-responsive nanoparticle (NPALN/Mn-AP) for osteosarcoma treatment.
  • To co-deliver ATM and PRMT5 inhibitors to enhance DNA damage and immune signaling.
  • To investigate the therapeutic efficacy of this nanoplatform in preclinical osteosarcoma models.

Main Methods:

  • Fabrication of alendronate-functionalized nanoparticles (NPALN/Mn-AP) co-delivering ATM and PRMT5 inhibitors.
  • Utilizing manganese (Mn) chelation to enhance immune signaling.
  • Evaluating nanoparticle accumulation, drug release, and cellular effects in osteosarcoma cells.
  • Assessing *in vivo* efficacy, including tumor inhibition and systemic immune response modulation.

Main Results:

  • NPALN/Mn-AP demonstrated preferential accumulation in bone tumors.
  • Elevated intracellular glutathione triggered controlled release of both inhibitors.
  • Inhibition of ATM and PRMT5 amplified DNA damage and activated the cGAS-STING pathway.
  • Manganese ions enhanced innate immune signaling, promoting cytosolic DNA sensing.
  • *In vivo* studies showed significant inhibition of osteosarcoma progression and boosted systemic immune responses.

Conclusions:

  • The developed nanotherapeutic platform effectively targets bone tumors and co-delivers therapeutic agents.
  • This dual-action strategy synchronizes DNA-repair inhibition and manganese-enhanced immune stimulation.
  • NPALN/Mn-AP represents a promising new approach for osteosarcoma treatment by reshaping the tumor microenvironment and promoting antitumor immunity.